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SITE-WORK DATE rD/srG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />ln sulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />D eputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />zt---
<br />FINAL /2 -.- E lr'e- z
<br />Certificate of Occu nc
<br />Notes, Remarks Etc
<br />atvs
<br />()\1\l R Br ll Dl.:R Dr r ( \R \ {)\
<br />I h6.la tm,n und6 ,.oly df F4ur! rhn I m .rnpl tom th. (-otntuor' Licffi L.s foi !h. folhtrqa..e- ls<i(,rl 5
<br />Brsrtr6s dfrl Prof*nn Cod.) Anyciryor (ouiry shich r.qurB iFn( ro connnd, !I(, improv( rhnol(h or rcIr an]
<br />stuluc. Fh. lo ns *uocc. ltF ..'tutr6 rhc drplicd ntr rucfi p.mi ro lil. r !is..'l rr.i6d rh, tE or slE i, lico<d p.ed '
<br />'o
<br />l,r ForsirB of rlr contektr s Lros.d tl$ t(-lqra 9. Conmftins {nh scrk\. 7000 of Dnilh. I of rlE gusnRr rnd
<br />Pn'tRriors(odclorlnlth.orsh.is.\.hplrhd.fromudrh.b6iforrh.dll.rcd.t6rption.Anyvol.lionolS.clrcnT(rll5h)lny
<br />apth.tnl aor a psfth rubjds lh. a9plKanl lo a .i!rl ptrhy of mt nor. ihu lir. hun&.J doll&, ltt00)
<br />L a o$nd oarh. FrFny, or my.nrlorG s hsa866rh.irelccoDrE\sri,m.r,llrhrh.ro*adrh.iMRitnor
<br />idorjcl oroft(.d for slclS< ?01,1. BBin6uLl frof6rk)N cod. lhc(\nlrrdoir I icc l.r &E.ol qDlyt,mdsffior
<br />rh. Fydy $t bu'lll or inynrG rlEEra rn q lr' &E sh uoil hm*lf .. hdxlf or rhmlAh hir.r hs oun orlo)c.
<br />fo d.d rh'r luch ul'o\dEft E mr d-ldql tr of@d 6r qb lt t *6r. (h. ixiuqr.r irym\lird * $llt *dhr oft !w
<br />ot coqrLtion. llE Osn6 lruilda will h31.lh. hhlc' of prclinlt lhn h. or sh€ dil nor toikl r inFo\r fi. proFly for llE rxrpos or
<br />l- 6oun(ollh. pn'Fny. m cxclusiv.lyconridin8 *nh lta!.n.o mdoF ro codru.1 rhc tr,.'*r (56 ?04,1, llGrnd
<br />arl Anlsin ('od. lh.Co6[doa3l ic6* I !$ &B not lp0lyro uosnn oft,oFntq'h. hu'ld!or improv6rhd6n.
<br />lnd sho m' dr for ch Foj..ls trnh r Codrxl.(3) li.dn I'(Bd roih.Codr.dors LxdE krI
<br />I d..(.nrpl unds S(hon
<br />l).r. (rin.r
<br />woRKrrls' ci1[r PrNaa floN
<br />Dtgdtralla!
<br />I hodtr rtnrmundd Fnah! orFruq on.ofrh.lollotrll'3 da luarionr
<br />I h.\ c sn q'ill mint.in . ('GniaE.lc of Coo$r ro S.lf- lNur. for $ o 6 comD.rsdi'n. s pinrd lor byS<lion 70rlal'h.
<br />ttt ('o&, forrt Flolfu.. orrh. $.rl f( sikh $. tEnn i! au.d
<br />I h!r. dn *ill mlinuin * od6 comp.cdion iGusnc., n rcqun d ty 56l xrn 1700 of th. Iitx'r Co!., lor lh. ,qtu,M. ol
<br />rhc snrl aor *hth lh! rEnn i eEd My trortd comFtuiion iBuuc ceE an Fl(! .udtE &
<br />I c6ii[ rh.l in th. Ffoffi. of l,E sorl tor trhth rhis rEfrn k ku.d. I !h!ll Rn mphy.ny Fe]n in..y reF
<br />$ Bro b..oe.ubj<!
<br />'o
<br />rh. mlt6 $nFMtun lrn3 ot( .lilnm'!, ud rec rhd ial shuld t!.orc $qd ro llE
<br />sorl6' c.mp6$rio. FovieioN of Sd Nn I700 of rhc t trr ('odq I ihrll. aonhwnh omply u h rh.k l,bviriore
<br />W RNING rlibrc lo EU. $rk6' compdEdhn cov.r.*. ir unLulul. sd nEll ubj.rl o nploF lo diniMl Ftrxi3 !,i
<br />.r'l lin6 !p ro om no.d,.d rhoNnd d.llffi (tt(xJ,uro), in .dd ('n
<br />'o
<br />th<datrr86 ii FU\xl.J fi! ih.
<br />sNrhn 1076.frh.lalnr c.d. mra6i
<br />^**r, \0'tq-,"
<br />UlEXSl;lrl;O.trrXAClAA
<br />DISJAAIIAN
<br />I @ am.h ondd Fulr) oI pqruo tht I m lEn*d ukLr For6i,r ofchIFs 9 (.ooffiins trnh S<dlD 700(,) of Dnsxrn r
<br />ol rh. Bunl6 .nd Pmf*ioB ('od.. dxl m, licms is i. tull for.. &i drd
<br />/7 7 qru c
<br />L-?!.',1
<br />colilf,ucrarJ;lDlrclcii!(l
<br />I ha.b! amrm trdd FDny or Fjor! rhd rh6. k . .odtud iro l.rilins .Gm! for rh. Fa.lllle. of !n sorl tur trfi'chrhFrsrnn 6
<br />uru.rl (sd to9?. cir c)
<br />AIIII(ATfDEOJAAIIII!
<br />I horb dffm' lodd ltnalry of Fjlry oE or rh. fulbu i.s &rlurr pn!
<br />I)cmolilion Pmirs-Albcaros Norificatior,r.d6al RqulatioN (1 itl. 40, Pd6)
<br />R.qut.n l.dr6.lNdifidrn
<br />I .d it thd rh. f.d.rn rcsuld iod r.ldrns sbdor Gn\,1 &. mr Eglk.bk to rhir FnF
<br />l.61it th.r I h,v. Hd rhk npplicalion drd slst.thd th. rb\c infomarion k coE..l. I itrEto.onllyrvirh.ll Cny iid Counry
<br />ordinn.cG.nJ srrt. tAs Glarinr k, boildins coBlrud 6 ofthir( ilyed(tunlyt, drd xF.n rh.
<br />atn\. lmrinal FrFr) for dq<hl nu
<br />,l rprlcrnr ot ,lror Srrnrru( A
<br />/'1/ -ett.,t,,Jo.lqA-l
<br />,r,n e- Z.r- 17
<br />BUILDING. INSPECTOR RECORD
<br />I
<br />UFER Ground
<br />-."-:4<)\V )">'tL /-4,: 2-- ) \
<br />')7
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